Adolescents’ use of combined hormonal contraceptives for menstrual cycle–related problem treatment and contraception: evidence of potential lifelong negative reproductive and bone effects

Jerilynn C. Prior

doi:10.1080/23293691.2016.1196080

Contraception · Oral Contraceptives

Adolescents’ use of combined hormonal contraceptives for menstrual cycle–related problem treatment and contraception: evidence of potential lifelong negative reproductive and bone effects

Prior JC

Published May 3, 2016 Women's Reproductive Health, 3(2), 73-92

DOI 10.1080/23293691.2016.1196080

Abstract

Non-sexually active adolescents are currently treated with combined hormonal contraception (CHC) for common experiences (e.g., cramps, acne) and serious problems (e.g., hypothalamic amenorrhea, heavy menstrual flow) for which it is not indicated, is ineffective, and is likely to cause negative long-term reproductive and bone effects. The importance to a woman's health of adolescent reproductive/bone maturation is described. Evidence is also provided to show the association of CHC use by adolescents with subfertility and inadequate bone growth. Ibuprofen is safer and more effective for cramps and heavy flow; cyclic progesterone builds bone in amenorrhea. In summary, a common, unscientific medical "habit" is compromising long-term reproductive and bone health in adolescents.

Topics

Contraception › Oral Contraceptives › Metabolic Effects · Therapeutics › Hormonal Agents › Estrogen Preparations · Reproductive Endocrinology › Ovarian Hormones › Estrogen

Jerilynn C. Prior

J Prior

DOI 10.1080/23293691.2016.1196080 10.1080/23293691.2016.1196080 Prior et al. 2016, Prior 2016

Adolescents’ use of combined hormonal contraceptives for menstrual cycle–related problem treatment and contraception: evidence of potential lifelong negative reproductive and bone effects

Abstract

Topics

By this author

Related research